Online Order Form
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Requested By:
Name:
You are the:
Select One
Sellers Agent
Buyers Agent
Title Company
Mortgage Company
Seller
Buyer
Company Name:
E-Mail:
Company Address:
Phone#:
Property Information
Property Address:
City:
Zip Code:
County:
Select County
Franklin
Delaware
Union
Morrow
Knox
Licking
Fairfield
Pickaway
Madison
Occupied
Vacant
#Units to be inspected:
Select the service(s) you require:
WDI "Termite" Inspection
Gas-line Inspection
Type of Dwelling/Structure:
Single Family
Condo
Multi-Family
Commercial
Entry Instructions:
Seller Information
Buyer Information
Seller Name (first, last):
Buyer's Name(first, last):
Payment:
At the time of Inspection
At Closing or within 30 days of service date.
Pre-pay online and save $5.00
Responsible for payment:
(fees are NOT waived if property does not close)
Buyer
Seller
Additional Information/Instructions:
Your order details will be displayed on the next page.
We recommend printing the confirmation page
for your records
THANK YOU FOR YOUR ORDER!
Cook's Termite and Pest Control, Inc. © 2002 All rights reserved.
